Intraocular Tuberculosis

被引:37
作者
Cutrufello, Nicholas J. [1 ]
Karakousis, Petros C. [2 ]
Fishler, Jane [1 ]
Albini, Thomas A. [1 ]
机构
[1] Univ Miami, Bascom Palmer Eye Inst, Dept Ophthalmol, Miller Sch Med, Miami, FL 33136 USA
[2] Johns Hopkins Univ, Sch Med, Dept Med, Ctr TB Res, Baltimore, MD 21205 USA
关键词
HIV; IFN-gamma release assays (IGRA); ocular tuberculosis' PCR; lipoarabinomannan (LAM); POLYMERASE-CHAIN-REACTION; IMMUNE-DEFICIENCY-SYNDROME; COMMERCIAL URINARY LIPOARABINOMANNAN; SYSTEMIC-LUPUS-ERYTHEMATOSUS; OCULAR ETHAMBUTOL TOXICITY; MYCOBACTERIUM-TUBERCULOSIS; PULMONARY TUBERCULOSIS; LATENT TUBERCULOSIS; EXTRAPULMONARY TUBERCULOSIS; GLUCOCORTICOID-RECEPTOR;
D O I
10.3109/09273948.2010.489729
中图分类号
R77 [眼科学];
学科分类号
100212 [眼科学];
摘要
Intraocular manifestations of tuberculosis (TB) are rare, but TB infection is common worldwide, especially in developing economies, and in immigrant populations and immunocompromised patients in developed nations. The current review focuses on the clinical characteristics and diagnostic modalities useful in the diagnosis of intraocular TB. Specifically, IFN-gamma Release Assays (IGRAs), antigen-detection assays, and polymerase chain reactions will be discussed. Clinical management of TB patients includes counseling and testing for HIV infection. The use of corticosteroids along with anti-tuberculous medications and special therapeutic considerations in immunocompromised patients are discussed.
引用
收藏
页码:281 / 291
页数:11
相关论文
共 112 条
[1]
THE TUBERCULIN SKIN-TEST IN THE DIAGNOSIS OF TUBERCULOUS UVEITIS [J].
ABRAMS, J ;
SCHLAEGEL, TF .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1983, 96 (03) :295-298
[2]
Interferon-γ release assays in the diagnosis of tuberculous uveitis [J].
Albini, Thomas A. ;
Karakousis, Petros C. ;
Rao, Narsing A. .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2008, 146 (04) :486-488
[3]
Ocular tuberculosis: diagnostic and treatment challenges [J].
Alvarez, Gonzalo G. ;
Roth, Virginia R. ;
Hodge, William .
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2009, 13 (04) :432-435
[4]
EXTRAPULMONARY TUBERCULOSIS REVISITED - A REVIEW OF EXPERIENCE AT BOSTON-CITY AND OTHER HOSPITALS [J].
ALVAREZ, S ;
MCCABE, WR .
MEDICINE, 1984, 63 (01) :25-55
[5]
Diagnosis of Tuberculous Uveitis: Clinical Application of an Interferon-gamma Release Assay [J].
Ang, Marcus ;
Htoon, Hla Myint ;
Chee, Soon-Phaik .
OPHTHALMOLOGY, 2009, 116 (07) :1391-1396
[6]
[Anonymous], 2003, MANTOUX TUBERCULIN S
[7]
[Anonymous], [No title captured]
[8]
Ariga Haruyuki, 2008, Kekkaku, V83, P641
[9]
Arora S. K., 1999, Tubercle and Lung Disease, V79, P229, DOI 10.1054/tuld.1999.0210
[10]
Utility of QuantiFERON TB gold test in a south Indian patient population of ocular inflammation [J].
Babu, Kalpana ;
Satish, Vidya ;
Satish, S. ;
SubbaKrishna, D. K. ;
Abraham, Mariamma Philips ;
Murthy, Krishna R. .
INDIAN JOURNAL OF OPHTHALMOLOGY, 2009, 57 (06) :427-430